Background: Xanthelasma is an abnormal lipid deposition on palpebrae, which is observable as yellowish plaque or nodules. Its incidence is 0.56–1.5% with onset of 15–73 years old and mostly occurs in the fourth and fifth decade. Few reports of xanthelasma did not cover the correlation between lipid profile and xanthelasma in Indonesia. Purpose: To find a correlation between lipid profile with xanthelasma in Dr. M. Djamil Hospital, Padang. Methods: This was an analytic cross-sectional study with consecutive sampling. There were 36 participants (18 xanthelasma and 18 control). Result: The highest age group was >36 - ≤45 years old (38.89%). More cases were observed in female (66.67%). Body mass index examination of xanthelasma revealed that most were overweight (55.56%). Grade I xanthelasma was the most common (72.22%). The cholesterol serum level of xanthelasma patients was higher than the subject controls (224.61±29.77 mg/dl versus 169.39±35.84 mg/dl) (p<0,05). The High Density Lipoprotein (HDL) serum level of xanthelasma patients was lower than controls (46.44±14.19 mg/dl versus 51.78±15.9 mg/dl) (p>0,05). The Low Density Lipoprotein (LDL) serum level of xanthelasma patients was higher than control (139.39±29.73 mg/dl versus 106.50±35.43 mg/dl) (p<0,05). Triglyceride serum level of xanthelasma patients was higher than the controls (167.83±87.26 mg/dl versus 121.61±54.52 mg/dl) (p>0,05). Conclusion: There was a correlation between higher cholesterol and LDL serum level with xanthelasma. No correlation between lower HDL and a higher triglyceride serum level with xanthelasma.
AbstrakPedikulosis kapitis adalah infeksi kulit dan rambut kepala yang disebabkan infestasi Pediculus humanus var.capitis. Kejadian pedikulosis kapitis cukup tinggi di daerah lingkungan padat seperti panti asuhan. Prevalensi pedikulosis kapitis yang tinggi di panti asuhan menyebabkan anak asuh mengalami gangguan psikis dan fisik. Tujuan penelitian ini adalah menentukan hubungan tingkat pengetahuan mengenai pedikulosis kapitis dan personal hygiene terhadap pedikulosis kapitis. Metode penelitian berupa survei analitik cross sectional yang dilaksanakan pada dari Januari sampai November 2016 di Panti Asuhan Liga Dakwah Sumatera Barat. Pengumpulan data menggunakan kuisioner terhadap 69 orang anak asuh yang bersedia menjadi responden. Hasil penelitian menunjukan lebih dari setengah responden (58%) memiliki pedikulosis kapitis positif, responden lebih dominan memiliki tingkat pengetahuan yang tinggi (88,4 %) dan responden lebih banyak memiliki personal hygiene yang baik (81,2 %). Analisis data untuk mengetahui hubungan tingkat pengetahuan dan personal hygiene terhadap pedikulosis kapitis yaitu menggunakan uji Chi-square yang menunjukkan bahwa tidak ada hubungan antara tingkat pengetahuan mengenai pedikulosis kapitis terhadap kejadian pedikulosis kapitis dengan nilai p=0,126 dan tidak ada hubungan antara personal hygiene terhadap kejadian pedikulosis kapitis dengan nilai p = 0,548. Kata kunci: tingkat pengetahuan, personal hygiene, pedikulosis kapitis Abstract Pediculosis capitis is an infection of the skin and hair of the head caused infestation Pediculus humanus var.capitis. Pediculosis capitis is quite high in the dense environments such as orphanages. The prevalence of pediculosis capitis high in orphanages causing children suffered physical and psychological disorders. The objective of this study was to determine the correlation of the level of knowledge and personal hygiene with incidence pediculosis capitis.Orphanage. Collecting data using questionnaires in 69 children who are willing to become respondents.The results showed more than half of respondents (58%) had a positive pediculosis capitis, more dominant respondents have a high level of knowledge (88.4%) and respondents were more likely to have good personal hygiene (81.2%).Analysis of data to determine the correlation of the level of knowledge and personal hygiene with incidence pediculosis capitis was using Chi-square test which showed there was no correlation between the level of knowledge about pediculosis capitis on the incidence of pediculosis capitis p = 0.126 and there is no correlation between personal hygiene on the incidence of pediculosis capitis p = 0.548. PENDAHULUANPedikulosis kapitis adalah salah satu klasifikasi dari pedikulosis yaitu infeksi kulit kepala atau rambut pada manusia yang disebabkan oleh Pediculus.
Pedikulosis kapitis adalah infeksi kulit dan rambut kepala yang disebabkan infestasi Pediculus humanus var. capitis. Kejadian pedikulosis kapitis cukup tinggi di daerah lingkungan padat seperti panti asuhan. Prevalensi pedikulosis kapitis yang tinggi di panti asuhan menyebabkan anak asuh mengalami gangguan psikis dan fisik. Tujuan penelitian ini adalah menentukan hubungan tingkat pengetahuan mengenai pedikulosis kapitis dan personal hygiene terhadap pedikulosis kapitis. Metode penelitian berupa survei analitik cross sectional yang dilaksanakan pada dari Januari sampai November 2016 di Panti Asuhan Liga Dakwah Sumatera Barat. Pengumpulan data menggunakan kuisioner terhadap 69 orang anak asuh yang bersedia menjadi responden. Hasil penelitian menunjukan lebih dari setengah responden (58%) memiliki pedikulosis kapitis positif, responden lebih dominan memiliki tingkat pengetahuan yang tinggi (88,4 %) dan responden lebih banyak memiliki personal hygiene yang baik (81,2 %). Analisis data untuk mengetahui hubungan tingkat pengetahuan dan personal hygiene terhadap pedikulosis kapitis yaitu menggunakan uji Chi-square yang menunjukkan bahwa tidak ada hubungan antara tingkat pengetahuan mengenai pedikulosis kapitis terhadap kejadian pedikulosis kapitis dengan nilai p=0,126 dan tidak ada hubungan antara personal hygiene terhadap kejadian pedikulosis kapitis dengan nilai p = 0,548.
Background: According to WHO data, the number of new cases of leprosy has decreased in 2019. However, Indonesia continues to provide a significant number of cases. According to statistics, India, Brazil, and Indonesia account for 79 percent of all instances. Purpose: This study aims to describe the profile of leprosy patients, and involves all Dermatology and Venereology Academic Hospitals in Indonesia. Methods: This study was a retrospective study of 2461 patients from Dermatology and Venereology Outpatient Clinic at 13 Academic Hospitals in Indonesia between January 2018 and December 2020. Result: Subjects in this study were dominated by males (66.8%) and aged > 14 years (95.3%). The most common type of leprosy was multibacillary (MB) (86.2%), and erythema nodosum leprosum (ENL) was the most leprosy reaction (20.3%). Majority of the subjects experienced disability in the hands (26.6%), in grade 1. Conclusion: Leprosy cases in Indonesia are mostly experienced by adult males. The most common type of leprosy is MB, with ENL being the most common leprosy reaction. Grade 1 disability is the most prevalent, therefore proper education is necessary to keep patients from progressing to grade 2 disability.
Background: One of the indicators of achieved leprosy control is lower new cases of leprosy with grade 2 disability (G2D), while zero new pediatric case with G2D is one of the targets of The Global Leprosy Strategy. This study aimed to describe the characteristics of leprosy in children with G2D from seven provincial hospitals in Indonesia, spanning a period of five years. Methods: This was a descriptive and retrospective study with cross-sectional design. Data were obtained from the medical records of leprosy-affected children in seven provincial hospitals in Indonesia between January 2014 and December 2019 using a total sampling method. Data obtained include characteristics of patients, clinical manifestations, and profile of leprosy in children with G2D. Results: From the 132 data of childhood leprosy retrieved, male (58.33%), age group of 13-14 years (47.73%), and borderline tuberculoid leprosy (34.09%) comprised the majority of patients. Most of the patients had anesthetic macules as the initial manifestation. The results showed 20 (15.15%) children had G2D. Hands were the most common site affected (50.00%), manifested as claw hands, contractures, atrophy of thenar and hypothenar muscles, and pseudomutilation. Foot drop was seen in five (62.50%) children, and lagophthalmos was seen in one child with leprosy. Conclusion:This study shows that G2D is observed in 15.15% Indonesian children with leprosy at the time of diagnosis, which mostly occurs on the hands in the form of claw hands. Foot disabilities were also observed, most commonly as foot drop, while lagophthalmos was present with disabilities in the eyes. Disability due to leprosy in children really exists. The commitment of all health care services and related institutions is needed in order to reduce the incidence of disability due to leprosy in children.
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Background: HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system that can cause immunodeficiency. Immunodeficiency results in increased susceptibility to fungal infections. The other opportunistic infection, condyloma acuminate is prevalent in groups at high risk for HIV acquisition and in HIV-infected individuals. Case: There were ring-shaped reddish patches with scaly and itchy on the right back since 3 weeks ago. Patients often scratch it especially when sweating and hot weather. The itchy reddish patches with scaly were increased in number and size on the right back then spreading over the edge to form ring-like patches. Patient complained ring-shaped reddish patches getting more red, scaly, itchy, and wider. 6 months ago, there was a lump that sometime felt itchy in below part of vulva. Patient in reproductive age and not married yet, but sexually active. Patient had a sexual relation with male who HIV 2 years ago. Patient also suffered HIV and got ARV since 6 month ago. There was no protection (condom) during the sexual intercourse. Dermatologic state in right back with efflorescence is plaque erythema with annular concentric ring forms, scale, and blackish crust. Venereologycal state show vegetation in vulva with size 0,2 - 1,5 x 1 x 0,5 cm with verrucous surface. Acetowhite test is positive result. KOH 10% of skin scrapping show fungal element and fungal culture result is tricophyton rubrum. Patient was diagnosed tinea corporis (TC) and condyloma acuminata (CA) genital griseovulfin 900 mg, cetirizin 10 mg, ketokonazol 2% cream twice a day, tricholoroacetat 90% and showed good improvement.Discussion: Diagnosis tinea corporis and CA genital based on clinical findings and mycological examination. Early diagnosis and proper treatment are important in HIV patients in order to prevent severe infection. After 4 weeks treatment, show improvement on TC however CA lesion no reduced. Keywords: tinea corporis,condyloma acuminate, tinea imbricata, HIV, Reproductive age
Universitas Andalas has an assisted area in the campus environment located in Limau Manis, Pauh. Skin disease, commonly encountered in the community, is a critical disease group in primary healthcare. However, there is no data on skin disease prevalence in Pauh Primary Care Unit. The purpose of this community service is to find out the characteristics of skin diseases that exist in the Pauh Primary Care Unit. Identifying the prevalence of skin disease is indispensable to planning health services and providing preventive actions against related diseases. The method used primary data from dermatologic status examinations on September 14, 2021. In addition, patients' quality of life was assessed using the Dermatology Life Quality Index (DLQI) questionnaire. The activity results obtained the most diseases were superficial fungal infections, and most skin diseases impact the patient's life. So, treatment and education are essential things in this activity.
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